NPI registry status
Active
2026 NPPES data Interventional Pain Medicine Physician NPI 1881896777 MD
Verify on CMS → Ketan Patel, MD
Interventional Pain Medicine Physician in Haymarket, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,528 in Interventional Pain Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
557
Medicare Part D claims · 268 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.9/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$23.2K
69 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ketan Patel, MD reported a CMS MIPS final score of 85.9/100 - above the 83.1 national average - and filed 557 Medicare Part D claims in 2023.
- 85.9/100
- MIPS score · +3 vs avg
- 557
- Part D claims, 2023
- 94%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Ketan Patel, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ketan Patel, MD sits
This provider among interventional pain medicine physician peers
Across the 546 interventional pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ketan Patel, MD writes more Part D claims than 24% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one interventional pain medicine physician peer from a representative sample of 60; the gold marker is Ketan Patel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ketan Patel, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ketan Patel, MD?
High performer (top quartile)Primary specialty
Interventional Pain Medicine Physician
Medicare Part D claims
557 75% vs specialty avg
MIPS final score
85.9/100 2.8 pts vs avg
Specialty distribution in Virginia
How Interventional Pain Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Ketan Patel, MD's 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average
- MIPS Final Score
- 85.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Pain Medicine Physician) - 85.9/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Ketan Patel, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 15195 HEATHCOAT BLVD, Haymarket, VA, 20169, with a listed phone of (703) 914-8000. NPI 1881896777 was issued on 06/03/2007.
Medicare Part D records for calendar year 2023 show 557 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $24K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 24.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.9/100 for the 2023 performance year (Quality 74.3), compared with the national average of 83.1.
Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1881896777 |
|---|---|
| Specialty | Interventional Pain Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/03/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.8851
Final Score
Avg: 83.1
74.3365
Quality
100
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Ketan Patel, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Physical Medicine Associates Ltd
Woodbridge, VA
Select Physical Therapy Holdings Inc
Gainesville, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Ketan Patel, MD. Source: openpaymentsdata.cms.gov.
Total received
$23.2K
Largest payer
Medtronic, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Generic-heavy
Ketan Patel, MD - brand share 6.0%
Interventional Pain Medicine Physician average
6% brand-name claims vs 94% generic, on 557 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
557
Total Claims
$24K
Total Drug Cost
268
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 623
- Total Day Supply
- 13,747
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $12K
- Generic Drug Cost
- $12K
- Opioid Claims
- 134 (24.1% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 34, 65-74: 124, 75-84: 84, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ketan Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
79 claims
- Methylprednisolone
Methylprednisolone
59 claims
- Duloxetine Hcl
Duloxetine Hcl
53 claims
- Pregabalin
Pregabalin
41 claims
- Naloxone Hcl
Naloxone Hcl
36 claims
- Hydrocodone-Acetam… 28
Hydrocodone-Acetaminophen
28 claims
- Oxycodone-Acetamin… 26
Oxycodone-Acetaminophen
26 claims
- Oxycodone Hcl 19
Oxycodone Hcl
19 claims
| Drug | Claims |
|---|---|
| Gabapentin | 79 |
| Methylprednisolone | 59 |
| Duloxetine Hcl | 53 |
| Pregabalin | 41 |
| Naloxone Hcl | 36 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 28 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 26 |
| Oxycodone Hcl | 19 |
| Tizanidine Hcl | 19 |
| Meloxicam | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Interventional Pain Medicine Physician in VA →
All providers in Virginia →
Compare specialties →
Interventional Pain Medicine Physician Overview
How Ketan Patel, MD fits within the Interventional Pain Medicine Physician landscape nationally.
1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider
Ketan Patel, MD's 557 claims are below the specialty average of 2,197.
Nearby Interventional Pain Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Patel.
Dr. Jenny Andrus
M.D.
Newport News, VA
Dr. Robert Audet
M.D.
Weyers Cave, VA
Dr. Mariapaz Babcock
DO
Vienna, VA
Dr. Cyrus Bakhit
MD
Roanoke, VA
Dr. Deeni Bassam
M.D.
Manassas, VA
Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Pain Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Ketan Patel, MD's specialty? ▼
Ketan Patel, MD specializes in Interventional Pain Medicine Physician and practices in Haymarket, Virginia. Credentials: MD.
How much does Ketan Patel, MD prescribe under Medicare Part D? ▼
In 2023, Ketan Patel, MD wrote 557 Medicare Part D claims totaling $24K in drug costs for 268 beneficiaries.
What is Ketan Patel, MD's Medicare quality score? ▼
Ketan Patel, MD has a CMS MIPS Final Score of 85.9/100 (Quality: 74.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ketan Patel, MD located? ▼
Ketan Patel, MD is located at 15195 HEATHCOAT BLVD, Haymarket, VA, 20169. Phone: (703) 914-8000.
What is Ketan Patel, MD's NPI number? ▼
Ketan Patel, MD's National Provider Identifier (NPI) is 1881896777, issued on 06/03/2007.
Does Ketan Patel, MD prescribe more brand-name or generic drugs? ▼
Ketan Patel, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $12K in brand drug costs.
Does Ketan Patel, MD prescribe opioids? ▼
Yes, Ketan Patel, MD had 134 opioid claims in 2023 with an opioid prescribing rate of 24.1%.
How many Interventional Pain Medicine Physician providers are there in the US? ▼
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does Ketan Patel, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Ketan Patel, MD's most frequently prescribed drugs include Gabapentin, Methylprednisolone, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ketan Patel, MD accept Medicare? ▼
Ketan Patel, MD appears in CMS Medicare data with 557 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ketan Patel, MD's credentials? ▼
Ketan Patel, MD's NPI is 1881896777 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.